Organization Active NPI

Dawn's Legacy LLC

  • Community/Behavioral Health Agency
  • Meridian, ID
National Provider Identifier
1588432629
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DAWN'S LEGACY LLC
Practice address
651 E Willowbrook Dr
Meridian, ID 83646-3854
Phone
(208) 801-9128
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daesha Cates
Title
Ceo
Phone
(208) 801-9128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

651 E Willowbrook Dr
Meridian, ID 83646-3854

Mailing address

651 E Willowbrook Dr
Meridian, ID 83646-3854
Phone (208) 801-9128

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1588432629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E WILLOWBROOK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463854",
            "telephone_number": "208-801-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E WILLOWBROOK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463854",
            "telephone_number": "208-801-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN'S LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "CATES",
        "authorized_official_first_name": "DAESHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-801-9128"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.